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Please fill out the form below to let us know of any changes in your information. Make sure to fill out your name so that we can update the correct record.

CURRENT NAME

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Middle:
Last:

NAME WHILE STUDENT (if changed)

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Middle:
Last:

ADDRESS

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City:
State:
Zip:
Foreign Country

CONTACT

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Email:
Website:

GRADUATION

Degree:

Year:

Major:

EMPLOYMENT

Position:
Company:
Street:
City:
State:
Zip:
Foreign Country
Phone:
Fax:
Company Website:

SPOUSE INFORMATION:

First Name:
Middle Name:
Last Name:

If Spouse UCI Alum:

NAME WHILE STUDENT

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Middle:
Last:

GRADUATION

Degree:

Year:

Major:

Privacy Notice: The California Information Practices Act of 1977 requires the university to provide the following information to individuals who are asked to supply information about themselves: UCI is requesting this information to update the general resource files of the Office of University Advancement. Furnishing the information is strictly voluntary and records will be maintained confidentially. The information may be used by other university departments in the regular course of business but will not be disseminated to third parties except if required by law. You have the right to review your own data file. Inquiries should be forwarded to the Vice Chancellor, Office of University Advancement, 555 Administration Building, Irvine, CA 92697-5600.